Senior Financial Analyst

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Aloha Care’s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication.

Aloha Care’s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program.

The Senior Financial Analyst is responsible for directly supporting the overall financial success of the organization by providing senior level, actionable analysis of financial and operating results, as well as other routine and ad hoc retrospective and prospective financial and operational analysis.

• Perform cost of care analysis – identifies key cost drivers and ongoing monitoring of financial trends.
• Deliver analysis of core product financial indicators for recurring and ad hoc research.
• Assist with preparation of internal financial and operating reports, including monthly financial statements, KPIs, Finance Committee and Board of Director reports, etc.
• Assist with preparation of external financial and operating reports, including Quarterly and Annual regulatory (HI DOI, HI DHS MED-QUEST, and NAIC) reports.
• Assist with preparation of supporting schedules and analysis for annual financial and regulatory audits.
• Prepare analysis in support of provider network contract negotiations, including provider reimbursements, P4P programs, withholds, and risk share programs.
• Participate in development of annual operating budget.
• Participate in periodic development of financial forecasts.
• Prepare monthly calculations and reconciliations of provider “pass-throughs”; ensure timely processing of pass-through payments.
• Support preparation of Risk Based Capital (RBC), statutory required capital reserves, and regulatory performance bonds calculations; ensure regulatory compliance.
• Provide comprehensive support to the reinsurance programs, including monthly reconciliation of reinsurance receivables, and timely processing of recoveries.
• Develop detailed drill-down analysis to provide corrective actionable insights to Executive Council and Medical Management leadership for total cost of care and administrative expense initiatives.
• Lead the development, maintenance, and optimization of the Finance data warehouse, ensuring the integrity, availability, and accessibility of financial data to support reporting, forecasting, budgeting, regulatory requirements, and strategic decision-making. Provide analysis to support annual negotiations with DHS MED-Quest to ensure adequate capitation rates. Support development of annual Medicare program bid. Support monthly detailed reconciliation of membership and capitation revenues to ensure accuracy of premium revenues to organization.
  
  Support preparation of monthly provider risk pool statements and timely, accurate annual provider risk pool settlements.
• All other duties assigned.
• Adhere to regulatory compliance and quality guidelines as well as Aloha Care policies and procedures.
• Responsible for maintaining Aloha Care’s confidential information in accordance with Aloha Care policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to Aloha Care data based on the data…